Ozzy

Name of the rabbit you are applying for

Title

Your Name

First

Last

Address Line 1

Town/City

County

Postcode

Phone (preferably mobile)

Email

Date of Birth

Profession

How many adults live in the home?

How many children live in the home?

What are the children’s ages?

Is the rabbit for a child?

What provisions do you have for cleaning out the rabbit(s), i.e. who and frequency?

Does anyone in the home suffer with allergies or asthma that may be triggered by the rabbit?

If yes, please specify allergies.

Is your property owned or rented?

If you rent, have you got written permission from your landlord to own a rabbit(s)?

If other, please detail.

Are the rabbit(s) going to be housed indoors or outdoors?

Do you have access to a private garden?

If yes, is it secure?

Do you have accommodation for the rabbit(s) ready?

If yes, what size is the shelter and run? Please give width, length, height.

On what will the shelter and run be sited? (Grass, concrete, decking etc.)

Are you able to provide photographs of the shelter and run?

Do you currently have other pets?

If yes, please tell us more about them. Type of animal, age, sex, length of time owned, where they are housed and if they are neutered and vaccinated?

Are you able to provide photo’s of your existing bunnies vaccination records?

Please give the name and address of your veterinary surgeon if you have one or the one you are intending to use.

Have you previously owned a rabbit or any other pets?

If yes, please specify.

Have you previously rescued a rabbit?

Are you planning any of the following in the next 6 months?

Moving house

A holiday soon

None of the above

If you selected yes, please specify.

I would like my new rabbit to be:

Select all

Be litter-trained

Enjoy being picked up/petted

Other

If you selected other, please specify.

Why do you want a rabbit?

Please tick if you are happy to receive further information from/about the shelter by:

Confirmation

I confirm that I am over 18 years of age, all of the information I have provided is correct to the best of my knowledge and the shelter can contact me about my application using the details on this form.

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